ROSARIO M SANDOVAL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

INACTIVE

Business

First Name

ROSARIO

Middle

Last Name

SANDOVAL

Business Name

ROSARIO M SANDOVAL

Original Issue Date

04/20/2021

Effective Date

05/11/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/06/2024